Healthcare Provider Details

I. General information

NPI: 1144315714
Provider Name (Legal Business Name): SYED S. AHMAD, MD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 01/09/2024
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 WHITEHORSE MERCERVILLE RD STE 203
HAMILTON NJ
08619-3882
US

IV. Provider business mailing address

183 FRANKLIN CORNER ROAD
LAWRENCEVILLE NJ
08648-2555
US

V. Phone/Fax

Practice location:
  • Phone: 609-890-1050
  • Fax: 609-890-0950
Mailing address:
  • Phone: 609-896-0622
  • Fax: 609-896-0069

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SYED S AHMAD
Title or Position: OWNER
Credential: MD
Phone: 609-896-0622